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Labor after pre-term labor meds


Forum: High Risk Pregnancy

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  #1  
May 15th, 2006, 10:05 AM
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I am 33 weeks pregnant and have been on a terbutaline pump since week 26. I get to stop taking meds next week. I'm so excited! I want to know how long it took you or someone you know to go into labor after stopping meds.
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  #2  
May 15th, 2006, 12:22 PM
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I went into labor within 24 hours of going off the terb, but it stalled out. My water broke within 48 hours of stalling though, so then I was induced. 34 weeks exactly.
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  #3  
May 15th, 2006, 12:30 PM
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At 34 weeks a baby is still looking at a hospital / NICU stay so what would be the reasoning for stopping the PTL meds so soon? I've been on Procardia (and bedrest) since 22 weeks and they are not taking me off until 36 weeks.

Cassie - how long did your baby stay in the hospital?

Kim
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  #4  
May 15th, 2006, 12:47 PM
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Procardia did not work for me at all. My two OB's and my Maternal Fetal Specialist have both told me 34 weeks is when the effects of the terbutaline begin to outweigh the risk of the baby being born pre-term. I was given steroids over a month ago for lung development. None of my doctors are anticipating any kind of stay in NICU after 34 weeks.
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  #5  
May 15th, 2006, 12:56 PM
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My last baby came at 32 weeks and she stayed in the NICU for 4 weeks... pirmarily because she didn't learn the sucking reflex until then. So had she come at 34 weeks she would have been in for two weeks. But regardless 34 weeks is still a great gestational age to have reached. Good luck!
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  #6  
May 15th, 2006, 03:50 PM
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Quote:
At 34 weeks a baby is still looking at a hospital / NICU stay so what would be the reasoning for stopping the PTL meds so soon? I've been on Procardia (and bedrest) since 22 weeks and they are not taking me off until 36 weeks.

Cassie - how long did your baby stay in the hospital?

Kim[/b]
Actually there was a mix-up with my due date -- LMP said 6/20, but early ultrasound said 7/8. (I was pretty sure I had ovulated late that cycle, didn't get a BFP till I was 2 weeks late -- so I was pretty sure I was due in July.) So we went with the July due date. But at 25 weeks I was measuring so large they went back to the June due date. So we thought I was 36 weeks when I went off the terb. Ds was born weighing 7lb3oz, so he certainly seemed to be a 36 weeker. But later it was determined that his behavior and eating habits were far more like a 34 weeker, and considering the confusion early on about my due date, it made more sense that I was truly due in July.

Ds required no NICU time at all, actually. Got better apgars than my full term daughters. Was breathing on his own from the moment he came out, though I'd had 3 steriod shots in the weeks leading to his birth. However, at 10 days old he had dropped a pound and was dehydrated, so he was admitted to the county PICU for a 48 hour watch and rehydration. Unfortunately they decided to treat his reflux with a drug he was highly allergic to, then denied he was having a reaction to it, and he almost died as a result. After 10 days at county he was transferred to the Johns Hopkins PICU where they cursed the county hospital for their stupidity. Came home 4 days later. So in his first month he did spend 2 weeks in the hospital. But it was only because county did a poor job caring for him -- it should've only been 2 days.

From what I've heard from other women through the years, 34-36 weeks is about the time most doctors will discontinue terb. I guess it just depends on how comfortable your doctor is. But still, doctors should not out-right say they're not expecting a hospital stay. I've seen MANY 34-weekers require a hospital stay, regardless of steroids. An old friend of mine had steroids but her ds still had respiratory issues -- stayed in the hospital for 3 weeks, then came home on a monitor for 6 months. And my nephew was born at 38 weeks and needed 24 hours in the NICU because of breathing difficulties. There's so many unknowns when it comes to fetal development -- there's no way a doctor can make an accurate guess on where your baby is developmentally at 34 weeks, or any gestation. Not saying 34 weeks is bad -- but it shouldn't be viewed as a "safe zone" either.
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